Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection cost in Wisconsin

TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION · HCPCS J9325

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $76.19 – $191.58 5
SSM Health Monroe Hospital Monroe not published $70.38 – $191.61 6
UnityPoint Health - Meriter Hospital Madison not published $62.55 – $73.55 9
SSM Health St. Mary's Hospital - Madison Madison not published $58.00 – $139.74 5
Aurora West Allis Medical Center West Allis not published $70.36 – $171.70 13
Aurora Medical Center Washington County Hartford not published $70.36 – $171.70 13
Aurora Medical Center Summit Summit not published $70.36 – $171.70 13
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $70.36 – $171.70 13
Aurora Psychiatric Hospital Wauwatosa not published $70.36 – $171.70 13
Aurora Medical Center Sheboygan County Sheboygan not published $70.36 – $171.70 13
Aurora Medical Center Fond du Lac Fond Du Lac not published $70.36 – $171.70 13
Aurora Medical Center Kenosha Kenosha not published $70.36 – $171.70 13
Aurora Medical Center Manitowoc Two Rivers not published $70.36 – $171.70 13
Aurora Medical Center Grafton Grafton not published $70.36 – $171.70 13
Aurora Medical Center Burlington Burlington not published $70.36 – $171.70 13
Aurora Medical Center Bay Area Marinette not published $70.36 – $171.70 13
Aurora Baycare Medical Center Green Bay not published $70.36 – $171.70 13
SSM Health St. Mary's Hospital - Janesville Janesville not published $58.00 – $139.74 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $58.00 – $139.74 5
SSM Health Waupun Memorial Hospital Waupun not published $76.19 – $191.58 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $58.00 – $191.58 8